Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability
Background: The Fascial Distortion Model (FDM) is a relatively new manual therapy approach in the field of musculoskeletal physical therapy, and its potential effectiveness in treating chronic ankle instability (CAI) remains unexplored. Methods: A randomized controlled trial with 23 participants was...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Sports |
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| Online Access: | https://www.mdpi.com/2075-4663/12/1/33 |
| _version_ | 1797342530044428288 |
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| author | Amin Mohammadi Seyed Ehsan Sakhtemani Lukas Trimmel Krisztina Petricsevics Alexandra Makai Istvan Zsenak Csaba Melczer Péter Sándor Tardi |
| author_facet | Amin Mohammadi Seyed Ehsan Sakhtemani Lukas Trimmel Krisztina Petricsevics Alexandra Makai Istvan Zsenak Csaba Melczer Péter Sándor Tardi |
| author_sort | Amin Mohammadi |
| collection | DOAJ |
| description | Background: The Fascial Distortion Model (FDM) is a relatively new manual therapy approach in the field of musculoskeletal physical therapy, and its potential effectiveness in treating chronic ankle instability (CAI) remains unexplored. Methods: A randomized controlled trial with 23 participants was conducted. Patients were randomly assigned to either the FDM + balance–strength training (BST) group (<i>n</i> = 8), receiving extra FDM sessions weekly in addition to two sessions of BST, or the BST group (<i>n</i> = 7). Healthy controls (<i>n</i> = 8) did not receive any treatment and participated only in pre- and post-test measurements. Objective measurements including Y-Balance Test Lower Quarter (YBT-LQ), Flamingo Balance Test (FBT), Weight-Bearing Lunge Test (WBLT), ankle joint range of motion (ROM), and Cumberland Ankle Instability Tool (CAIT) were recorded at baseline and the end of the intervention. The results demonstrated significant differences between the FDM + BST and BST groups for supination ROM (<i>p</i> = 0.008) and similarly for WBLT (<i>p</i> = 0.041), FBT (<i>p</i> = 0.40), YBT-LQ (<i>p</i> = 0.023), and CAIT score (<i>p</i> = 0.008). Moreover, while both groups demonstrated significant improvement at the post-test compared with their pre-test for plantarflexion and pronation ROM, WBLT, and CAIT score, the FDM + BST group demonstrated significant improvements in supination ROM, FBT, and YBT-LQ. Conclusion: Our study suggests that the addition of FDM concepts to a BST may lead to enhanced improvements in ankle ROM, static and dynamic balance, and self-reported outcomes in individuals with CAI compared to BST. |
| first_indexed | 2024-03-08T10:34:15Z |
| format | Article |
| id | doaj.art-40d8b160b97b461a9052640e60d589a7 |
| institution | Directory Open Access Journal |
| issn | 2075-4663 |
| language | English |
| last_indexed | 2024-03-08T10:34:15Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sports |
| spelling | doaj.art-40d8b160b97b461a9052640e60d589a72024-01-26T18:30:15ZengMDPI AGSports2075-46632024-01-011213310.3390/sports12010033Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle InstabilityAmin Mohammadi0Seyed Ehsan Sakhtemani1Lukas Trimmel2Krisztina Petricsevics3Alexandra Makai4Istvan Zsenak5Csaba Melczer6Péter Sándor Tardi7Faculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, HungaryFaculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, HungaryAltgasse 20/14, A-1130 Vienna, AustriaEminent Physiotherapy Center, H-7621 Pecs, HungaryFaculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, HungaryFaculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, HungaryFaculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, HungaryFaculty of Health Sciences, Institute of Physiotherapy and Sports Science, University of Pécs, 3 Vörösmarty Str., H-7621 Pecs, HungaryBackground: The Fascial Distortion Model (FDM) is a relatively new manual therapy approach in the field of musculoskeletal physical therapy, and its potential effectiveness in treating chronic ankle instability (CAI) remains unexplored. Methods: A randomized controlled trial with 23 participants was conducted. Patients were randomly assigned to either the FDM + balance–strength training (BST) group (<i>n</i> = 8), receiving extra FDM sessions weekly in addition to two sessions of BST, or the BST group (<i>n</i> = 7). Healthy controls (<i>n</i> = 8) did not receive any treatment and participated only in pre- and post-test measurements. Objective measurements including Y-Balance Test Lower Quarter (YBT-LQ), Flamingo Balance Test (FBT), Weight-Bearing Lunge Test (WBLT), ankle joint range of motion (ROM), and Cumberland Ankle Instability Tool (CAIT) were recorded at baseline and the end of the intervention. The results demonstrated significant differences between the FDM + BST and BST groups for supination ROM (<i>p</i> = 0.008) and similarly for WBLT (<i>p</i> = 0.041), FBT (<i>p</i> = 0.40), YBT-LQ (<i>p</i> = 0.023), and CAIT score (<i>p</i> = 0.008). Moreover, while both groups demonstrated significant improvement at the post-test compared with their pre-test for plantarflexion and pronation ROM, WBLT, and CAIT score, the FDM + BST group demonstrated significant improvements in supination ROM, FBT, and YBT-LQ. Conclusion: Our study suggests that the addition of FDM concepts to a BST may lead to enhanced improvements in ankle ROM, static and dynamic balance, and self-reported outcomes in individuals with CAI compared to BST.https://www.mdpi.com/2075-4663/12/1/33chronic ankle instabilityfascial distortion modelFDM manual therapydynamic balancestatic balanceankle range of motion |
| spellingShingle | Amin Mohammadi Seyed Ehsan Sakhtemani Lukas Trimmel Krisztina Petricsevics Alexandra Makai Istvan Zsenak Csaba Melczer Péter Sándor Tardi Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability Sports chronic ankle instability fascial distortion model FDM manual therapy dynamic balance static balance ankle range of motion |
| title | Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability |
| title_full | Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability |
| title_fullStr | Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability |
| title_full_unstemmed | Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability |
| title_short | Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability |
| title_sort | investigating the combined effects of fascial distortion model manual therapy and balance strength training in individuals with chronic ankle instability |
| topic | chronic ankle instability fascial distortion model FDM manual therapy dynamic balance static balance ankle range of motion |
| url | https://www.mdpi.com/2075-4663/12/1/33 |
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